i . ;1.\ i;: Tor.ic CROUP 2. LOCA 7 ON CONCLJSION Nl/l.ti: R OF OBJeCT S ' LENCTn OF OaSE~VATION 7. CO.JRSc ? . ?tHHOS 'i. r'dYSICAL E V IDENCE 11. cRier SU'.t~ARY Al\:> ;.:-;,..LYS.S Dol~ )'ou compl~tetd t:1is quostionnoire: 35. Information which y ou feel pertinent and which is n o t adequa tely covered in the specific point s of t he q:Jcstionnoir., or o narrat i v e exp lanatton o f your sighting . i'hcre './fJT'G _:.l'~.;G re( , -;_unt:. ~u Ltte end. ',/hen ;.t -:.:::.; dircctlr over re :lit!:'..: ci 1t l i _1i;o on tJ.1e bottou . I t 1.o. .. 1 fire; .. o:.ootin o ;tof tl ... r. 'I.e--:. ::!..i ;~1-t;s in the .front !;,,J id he H AOQUARTE:ot.S FOA1GN T.:CH~:;,-oo:;v OIVI.,I C'-(.11,-'l C) WRIGHT.?ATTo!il~ON Alit O""tCi: UA~.!. OHI~ -''-'3;) UFO Observation Ref erenc e y::,ur unidentified observation. The information vhich recel ved i s not sufficient f or a scientific eval~ution. R'que~t you complete the a ttached FTD Form 164 and return it in the envelope provij~d. T., ank you for reporting yoa~ obser vation to t he At: ~orce. ... -SS C. :~NAT!', Col one l , USAF Jirector o f Tec ology and Subsystems F?D Form 16 4 v/ e nre lope U.S. AIR FORCE TECHNICAL INFORMATION This qli<)Stionnoire hos b~cn pr~pored so that you con give the U.S. Air Fore,. os mut.h i;,formalio"l as possible concerning the unidentified a~rial phenorrenon that yov hav. O~) .. ..,rvcd. Pi~-=se try to o;:;w<;tr as many Ql.estions as you possibly con. T h information rh:1t you giv<' will be us~d for r search purposfts. Your nome will not be used tn connection witfl any stl'H~ments, ron c lusions, or publications without your p~rmis.;ion. We requesr this personal informat ion so that if it is d~ med necessary, w~ may contact you for further details 1. Whr.:n -lid y ou see the object ? 2. Time of day: 7_ 3. T i :lt! Zone: (Circle One):( a . Eastern) b. C..:ntral c. Mountain d. Poe ific Hour Minut"ts (Circle One): (Circle One):( o . Daylight.. Saving b. Standor<i) ~. Y!h!:r.J \'#ere you when you ::ow the oGjecr ? Nearest Post.;d Address C i t y or Town Stole or County 5. ho.Y lor:g was object in sight? ( T ool Durotion) :a ( o . Certain ) b. Fa'rly certain 5.1 no was time in sight determined? 5.2 'lros object tn s ight cont in uous!;? Hours Minut e s c . Not very sure d . Jus t o guess 6. ,1/'n,-, wo:. the condition of the sky? b. Cl 1udy ( o. Brignt) b. Clo;.~dy 7. lr y<Ju sow h~ obpc' dur ing DAYLIGliT, whore WllS th~ SUN locot d os you loo~ d a t th o!:li ct' (Cici'! One): a . In front o f you b. In bock of you To y.,ur r isht d. To y.,ur left e. Ov~rhecd f . Don't r<:rr'3mb~r i 8. IF you soN the obj.-ct a t NIGHT, whor did you notic .. c':lnccrning th-> STARS nnd MOON? 9. What weru the w~ather conditions at tho t ime yoo sow th~ object? CLOUDS (C~rclc One): o . Clear sky) ~r~ottered clouds Th1c'< or heavy clo1..ds b. Transparent WEATHER (C~rcle Ont:i: b. Fog, mi$t, or li ght roin Mode r'lte or heavy rain e. Don'~ rcme.mber (d. As a li~:,t ) c. Don't renember I 11. If i t orp:!:.red os o light, was it briahter th:Jn thl'! brighrest .-tor:.? (Circle On~): a . Srishter ( c . About t h e so..,~ ) d. Don't know 11.1 Compare brightness to s ome common object: A dio heaJJ.i j:t n ~ eds of th., object were: o. Fuzzy or bL.wed b. Like o bright star) c. Sharply outline d d . De,' t r<!rrember Did t~e .Jbject: (Circle on~ for eoch question) App~tor to stand still a t any time? Don't know Sdd nly speed up and rush away o t ony time ? ('r ~s 8: o~ U? i "~'O ports or uxp lor.e? Ye<: Don't kno ~ Civ,. oH ~mok? Yeo; NQ) Don't know Chong,. br i !;h tne s c;? C Jr. g., shape? Do n ' t kn:">w Plorh or flick"r ? 0 JSJ?pear ond rooppeor? Don't kn.:>N 1 lt.. D id th object ciac;appeor whale you wm~ watching it? If so, how? 15. Da J 1t1 object mot' behind something at any time, porti c ulorly a cloud? I (C1rcle On~): it rr:?'led behind: Don't (.now. IF you On!> ... .,r::d YES, the n t::ll wn.Jt 1~. Oid fh'.! object mov~ in front of something ot any timt:, particula r ly a clo~.~cl? on t (,now. IF you ans...,~red YES, .h~n t~'l ,..har (Circle On~). 17. Tel! in a bw worJs tne followi113 thinJS about the obj~-::t: 18. w .. .,.; ,h to '<now th a ngulcr :.iz . Hold a match s tick o t arm's length in far.:! win a '<nown -:.bj .. ct or1d n ;~t ',:.~ much of the object i:; covered by tha heed of th., rnatch. If you had performed thi~ exper arrent ., t tl!~ ti""" ('Itt-: .. I :;i;htins, how much o f the object would hove been covered by the match h.od? ::.!. 10. Drc.v =picture thfl~ will show th~ shop~ o f the obtect or objec t s . Label onJ include n y I r ~k-!t:~ a ny eotnib ci ''-:>bject t n::t you sow such as w rng>, protrusions, etc. , and especi.:~:ly evhcust trc1l~ or vapor ro,ls. Pl::cJ e n arrow b<lsid., t'-.e drawing r o !>how tl,e directio11 the object was mov:ng. ~D. Do y o.J ti11nk you con cslimote the spe.t:d of the object? ( C ,c/e One) lF Y"'J orHwcrccl Y[S, th.n what speed ..... ould you e stimote? _ 1. D.:> i ' OU ti-ar~ you c on estimate how for away from you the object was? fC,.-cf ... One) IF you onsw:lre d YES, th~n how for owoy would y ou s a y it was? 22. WhNc were you located when you sow the object? (C rrc /o One): o. ln~id~ a building b. In a ca r Outdoor .. ) d. In on airplane (type) 23. Were you (Cucle One) In the business SP.ction o f a city? In the residential section of a city? In opM countryside? Near ~n ~irfa~IJ?J Flyin g ove~ a ciry? Flying over O?~n coun try? 2.L IF fOU were MOVING IN AN AUTO MOBILE o r other vehicle ct the time , then complete the following qu.,sti~ns: 24.1 Who d:rect ion w~re you moving? ( Ci.-cle One) South g . West b. North.,ast d. Southeast f. Southwes t 2~.'2 How fast were you moving?--------------' i le s per h our. 21.3 Did you stop at any time while you Here look ing at t he object? (Circle One) DiJ you observ'! the object through any of th e fo l lowing? a. Ey~Ji::sses Yes (No) e . Binocular s Yes Sun slosses Yes T e lescope c. WandJnield Yos g. Theodolit e Yes d. Wir.do ~l'lss (No) h. Yes Other 6 In od~r t:-aat you CI'Jn g'v a~ cf.,ar a picture as possible of what you SON , describe an your own words a commo-t obpd cr obiccts whrch, when placed up an the s~y, would give the scrre cppearance as the object which you S:J,..,, 27. lr. ~h-! following sbtch, imagine that you ore ot t h e point shown. Place on "A" on th-, curv"d lir ., to :oh ' H ho...,. hioh t:n object was above the horizon (skyline) when yoJ f irst saw it. Place c "B" on thtl some curved lin~ t o sh.:>w how high the object was above the horiz on (:;kyline ) when you lost sow it. Place on "A'' on the:: corr:oas:o wh~n you fi rst saw it. Picco o "B" on the compas s whero! you lost saw the object. 23. OroH a picture that will :;how the m~tion that the object o r objects mcdo. Place on "A" at tl,e beginnir.g ot "B" at t h:: end o f t he path, a nd show any changes in direction during the cour::;e. 29. IF there was MORE THAN ONE object, then how many were there? _ ----------- D:ow o picture of how they we re arranged, and put on arrow to show the dire c tion that they were traveling. ;J. Hove ~cv ~ver se"n this, oro si.nilar ob1act b~for'3. If so givu dote or dotes and location. .J 1. fie.;. .:r1o-~ else with you ot rh e t ime you sow the object? (Circle One) 31.1 1.= ycu answ~red YES, did they see the object too? (Circle One) .eir names and addresses: 2 . Pleo.ie :;lv_ the follow ing informatio n cbout yourself: --L-DL 0'(C NU s-o AGE 13 SEX !ndiccte cny additional information about yourself, including any special exper ience, which migh~ be pertinent. J3. 'hh.::n .::~:l !':) w,om did you r<port thot you r ~d se~n ti--e object? .J o "i.l!Svi llc